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Organization
CHOLULA PSYCHOLOGICAL SERVICES
Active
Organization
CHOLULA PSYCHOLOGICAL SERVICES
Active
Other names
Cholula Psychological Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ANTONIO CHOLULA BRUNO MA, EDD (CEO/CLINICAL PSYCHOLOGIST)
(714) 253-7877
Entity
Organization
Contact information
Practice address
600 W SANTA ANA BLVD STE 214-B, SANTA ANA, CA 92701-4558
(714) 253-7877
Mailing address
600 W SANTA ANA BLVD STE 530, SANTA ANA, CA 92701-4551
(714) 253-7877
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578873584
NPI
—
Enumeration date
12/18/2020
Last updated
05/19/2025
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